motion is carries, thank you. >> now we have another approval of the february, 23, 2015, special minutes. >> any corrections to the february 23rd? >> could i have a motion to approve the minutes? >> moved. >> second. >> it is moved and seconded that we amove the february, 23rd, special commission meeting, all in favor, a aye. >> aye of >> oppose? s aye haves it and so the motion is carried. >> thank you. >> are there any general public comments? >> are there any general public comments at this time?

>> hearing none we hall move to the report. >> the report employees of the month, the department of adult and aging recognizes nona chan, of ihss. could you come forward? >> >> is that better? >> hi, mona, how are you.

>> congratulations good morning. >> so, mona chan is one of the clerks in the inhome supportive service and i think that one of the things that often happens in operations like ours is that we forget that there are a lot of people who are behind the scenes who work really hard to support all of the work that we do and all of the work that we do with the san francisco residents and so i just waned to say quickly before i read what your colleagues have written about you mona, that she is part of a really important team and ihss, and she is one of the clerks, and her supervisor is here, and the clerks just do an incredible job. and one of the things that they are going to be doing is they are going to a lot of them any way are going to be supporting our new hub that we talked about that are going to be at two goff and in addition to the work that mona has done, i want to recognize the workers and the folks who really work behind

the scenes to make ihss as successful as it is in san francisco. and so, mona, here is what the people have said about you. >> mona has been working for the city and county of san francisco, for over eleven years. she started in february of 2004 as a receptionist at 2035 mission, and october in 2006 came to dos and ihss to work as a clerk she worked hard behind the scenes for the inhome supportive services and she provides clerical support to the units along with all of the other various tasks and duties thrown at her on a daily basis, she takes the initiative to assist and pick up and process extra work loads when the ihss teams are short tasked. she is proficient with medical and med systems that enter face with the ihss

system, which most of us don't know what that means i know that i don't. mona has learned and adapted quickly to the procedure changes after the affordable care act started in january of 2014, and gives the crucial feedback and suggestions to improve the communication and procedures and in addition, she has volunteered for many yearsed for the earned income program and we thank you for your dedication and effort and skill and they are highly appreciated. it is with gratitude and pride that we present you with the march 2015 employees of the month. >> thank you. >> i thank the workers and my support and my supervisors and the workers, thank you.

>> okay, thank you. >> next we have director's report, executive anne hinton is not here and we will hear from the deputy director. >> so good morning commissioners and this morning i talked to anne and she is feeling under the weather and so she just sent her regrets and she did want me to talk about a couple of things and i think that the first thing that she wanted me to mention is that it looks like the older americans act is going to go

to the full senate and that is big news and we have been talking about it for several years and we have been reauthorized and there is no specific date yet, but, that is, good news, we think. the second thing that she wanted media to talk about is that they had a very successful policy day, and i think that it was last week or the week before? cathy? >> yes. >> last week. and cathy ruso and anne were there together and she said that they had a chance to meet with ting's office and leno's office and david chiu's office and that they actually met with david chiu in person. so that was really nice for them. and the big push this year was the state budget was the $37 million ask and these are the in order of priority but just, the list of asks is for

protective services which includes ombudsman and nutrition and case management and family care giver and all of those services are things that have been cut back over the years or most of them have and so they ask us to restore the cuts that were made to some of those programs, and then in addition, there are some asks specifically for some of the programs that are new, but the 37 million ask and it will be blocked granted which will allow us locally to have some flexibility with the spending. so that was really good news. and i wanted to talk a little bit locally here about our transitional care program. and i think that we have been and we have been report to you about the transitional care program over the past year and a half. and we just did the analysis of the savings for the readmissions that we avoid, for that we have saved cms, $4.8 million and which is

good and they have paid us back one million and so we have actually netted them quite a bit of money and that said, when we talk to the program officer last month, they said that your volume is not where it is supposed to be, and we don't care about the money, we care about the volume and our staff has done incredible amount of work, and we have actually asked our internal staff, to start doing home visits so, some of our programs, volunteered staff, to just kind of do a last ditch effort and have the people go out and complete the home visits so that we could build the cms. and those programs that contributed to that were ihss, and aps, and dos intake, and our quality assurance unit and so i am grateful that they were able to spare some staff to go out and at least try to get our numbers up for the month of march and i mean the month of february. and we are kind of being judged on what we have done

through march third and we expect to hear from cms at the end of this month if we can continue the program if they do that is great and we are concerned that they may not and we of course will appeal immediately. if we do cut the program we will have to end it in may, and we feel like we have made the successes and we know that we have worked out a lot of kicks in the program but it is not good enough for cms at this point. we are not being singled out they are saying this to a lot of programs across the country. the two things that she wanted me to talk about. >> okay. >> i have a question, on the last issue. i talked about the volume, do

they consider volity of visits part of that or do you have to have your own staff in terms of the quality, how much time and you to make for each visit and when, and what are they looking for in the components of that visit. >> well it is not as much as the time with the visit it is more about imparting the information to the person to the patient, and sometimes it may take more time, and sometimes it takes less time, but it is really making sure that the person has a follow up visit with his or her primary care physician and that the person understands his or her diagnosis and that they have the right medication and if there are other things that they need, the quick links to like the meals or transportation back to the doctor those things are in place and so it takes longer for some people and not as long for other people but it is really about those things and not so much about the time spent. >> okay. >> is it the fact that maybe

you don't have enough staff going out, what do you, and what is it, what seems to be the problem along that road. >> you know, there are a lot of different things, i mean right now, we are getting a large number of referrals every month and in the past and at least in dem and january and we have close to 600 referrals but the up take and the actual enrollment and the thing that we can bill on, is about less than half of that and so the people either are not responding sometimes, or maybe you know, we are not able to get to them quickly enough, because the volume and the caseload volume is high for some of the staff and we are trying to figure out exactly where the problems are, and we have worked through a lot of them but it is just, and it has been very challenging to develop this program, and there has been a lot of ramp up time. more than we had hoped. >> any other questions? >> okay. thank you, because i have a

few referrals. >> send them in. >> okay. eall right. thank you. >> next is the advisory council report, mr. leon schmidt. >> good morning, commissioner, and commissioners and deputy director. and the advisory council met on wednesday february 18th. and at that time we had a really great visit from mr. john franklin from the san francisco mental health association, on collecting behaviors. and he actually brought a staff person in to really give a face to what collecting behavior really is all about. and it was really an insightful presentation and i think that everyone in the room really got something from it. and will learn from it and will be able to take it back to the communities and mr.

franklin, they are always looking for referrals to assist people with this behavior. we continue to look for folks who are interested on becoming part of the advisory council. and there are 22 positions that are on the council and right now, we are down a few. and so we are always looking for folks who are interested. and our person who is our chair person, cathy, and is always, looking for the good referrals for the people who are would be good on the advisory council. >> we are continuing to do our site visits and that is an ongoing effort by the council members to really go out and visit all of the sites that dos supports and to go in as consumers and not

staff persons. we had to from the educational committee, due to some illness on staff, within dos, we had to push back the march presentation until maybe april and as folks come back on board, to the department, who will let an adviser and the council on the commission on when that will be. and i can tell you that it is going to be an exciting presentation, and it is sexualty and aging and so i think that we will have a full house. and we are hoping to have a full house. >> and so, that is it. that is mine. >> questions? >> yes. >> commissioners? >> yes, the openings that you have on the advisory council are they from the supervisor's office, or are they the appointments that

the commission needs to review? >> i believe that they are both, sir. >> both? >> yes. >> thank you. >> commissioner? when you folks go and make a visit, do you have a checklist you go by and then you report the findings and then it goes back to the commission office? >> there is a follow up sheet that we use, and yes, and that information we did not give it to the dos staff, and then they follow up on that. thank you. >> you are welcome. >> and are there any other questions? any other questions? >> thank you. >> thank you. >> the long -- the joint legislative committee, sorry about that. good morning. >> good morning. >> that was fine, i am just a little anxious.

we focused primarily at our february meeting on the 6 proposals from the california senior legislature, and their goal is or was for 7 to 8 to be sponsored and as of mid february, we were looking at three actually had bill numbers and a good majority of them have sponsors. to just kind of set the stage, the period for submitting legislation as i am sure that most of you know is the end of february, so i am anticipating in two weeks when they meet again we will have a longer list, plus we have a number of reform package from the aging and long term care, that are coupled around there and so i will focus on those six, one that we have already talked about which is the end of life options, which is being spearheaded by compassionate choice and it basically authorizes the mentally competent residents to

receive the medication for the purpose of ending their lives in a humane and there is a hearing for the 25th and another bill that has a sponsor will not be, the end of life is senate bill, 128. we mentioned this before, wilk is sponsoring identity theft on seniors and what this will do is if our identity was stolen there would be a felony with a minimum sentence of two years, punishment, and when the victim is 60 years or 65 years or older, i am noticing the typo in my notes and, then there is lopez is sponsoring a two-year, pilot program, for successful aging for the developmentally disabled. and what this pilot program would do would create three specified regional centers to develop and implement the guidelines to meet the needs

of aging adults with the developmental disabilities who don't have parent care givers and so it is a very focused group. and then, it would set guidelines for a formal program and i would imagine that after the report, we would see the legislation, proposed a couple of years later. >> and ab, 139 by goto would allow for property owner to use a transfer on death deed to transfer the real property upon the death avoiding probate and this is used in other jurisdictions and the last one that actually had a sponsor was temporary housing for minor relatives in the senior community. current law allows for two weeks for a minor to stay with a grand parent and this will raise to 6 months, it has no bill yet but a sponsor. >> the last one was

prescription drug labeling and has no sponsor but it will tell what the drug is for. that was one of the others and the other one is the senate joint resolution, and this one which is on social security tax wind fall and this is address the reduction in pensions, and due to the social security payments, there are some who are not aelible for social security under the public employment but are eligible because they work requisite number of quarters and an offset in their pensions due to the social security payments and so that will be to eliminate that and primary impact on teachers and celebrating its 25th year and they will have a rally on may 6th and then, david chiu, who is focusing

on housing has appointed marcy who sits on the advisory council to serve on the policy group for seniors and so we will have a lot more i think next month. now that the bills have actually been introduced and. >> thank you, one clarification on the bill regarding id theft involving seniors, would seniors be a separate category of id theft and therefore, someone convicted would get a minimum sentence of two years? >> i believe so, but we can check on that and let you know next month. >> thank you. >> thank you. >> you are welcome. >> any other questions? >> thank you. >> okay. thank you. >> and next, report, is the long term care coordinating

council. jessica? >> good morning i am jessica with the long term care coordinating council. >> we have confirmed our budget ask for this year which has three parts, first no cuts to any programs. and not just looking at local cuts but also, considering state and federal cuts and how our local government sticks in with that and also increasing funding for the community, living fupd by 2 million dollars so that it can serve more peep. and then a two percent to keep the non-profits going and serve our community and agree that we will support

the campaign to increase the ssi grants at the state level, right now, people with disabilities get, $877 a month, and do not qualify for food stamps and so you can imagine trying to pay for food and rent and all of their necessities on that is pretty much impossible. the council has open seats and taking nominations we are also celebrating the 25th anniversary of the american with disability act and that is july 26th and of course it was passed in 1990. there is a new website that the mayor's office on disability has put together, it is wwwada 25 bay area.org and there will be a lot of events that will be happening. we are meeting with the supervisors to talk about

what these programs are and why they are important and we are continuing the series of town hall meetings and we had one last week on hospital discharge and at 30th street, senior center and next tuesday we have another meeting on transit that is tuesday, march tenth from 12 of 2 and it is city college campus in the bay view and we will be talking more about free muni and apparently, 38,000 have applied and in case a few haven't, they will have a chance to do that and we will have kate from mta to talk about the taxi and the whole picture around transit and talking about possible streaming one of the regional conference on the white house conference on aging. and we have also started working on an event to bring together long term coordinating council partners as well as seniors and people with disabilities and to honor the ten year

anniversary of the council and we are talking about a big, event at city hau on how to make san franciscan age and disability friendly city and looking at the fall and we will keep you posted that covers it thank you. >> any questions on the commissioners? >> okay, seeing none we will move on to tacc, report, cathy russo, thank you. >> good day, supervisors. cathy russo with the tacc, report as you know at tacc, representatives from the different departments of the state, and we meet in sacramento every two months and this time there was quite a discussion of people who

are thinking of coordination instead of just individual programs and if we can get them, well coordinated, we are going to have better supervision and communication and easier referral system and such but what is interesting, is that you will find when you look at your advisory council, and some, it is not uncommon to have two counties, with one advisory council, and one commission on aging and you go up north and some have five or four and large numbers and of course another one is los angeles and the counsel and the city has a council. and now, in the discussion it got into the problems of getting programs through. getting your standards and getting funding because in a county, first of all you are

working with different cities and towns and so you have their governments to work through and then if you have several counties in your advisory council and then you have to work through the governmental system and those counties to get everything through. and come back. and there was a lot of exhaust and frustration, what comes up? san francisco is a city and a county. and we are only 40-square miles and we are a city and a county and we go through one system and we have our mayor, and we have a board of supervisors, and we don't have to go through all of that. when it comes to our special, groups, we usually can go to a couple of places in the city where they kind of have a community, program. that needs some to get the information and to do input and to see what is going on.

when this came out, people came up to me and saying how they envied us. and when this came to doing business. and yeah, don't let me explain, and much better than the rest of the state. because we were there two days, the next day was capitol day and i was able to go to capitol and sit in on the meeting about the california association of area agencies on aging. and had a bunch of action, that they had written and if you have not, read this, you should get a copy from anne. it it is so well written,

what it does is give a summary, kind of what the situation is and what are the problems and usually the big budget problems and trying to get these going. and the recommended anne was nice enough to invite me, what do all of these people do? they works with budgets and needs the fact and figures, what does it cost and what are we saving? and here it was just outlined, you can save and they just got right into it and responded so well and the respect that came out of this, for the area, agencies on aging, and that they had produced this document. and it was really you could feel it. i was just so glad to be walking in there, yeah,

impart of the group. that did this for you. but, you really should if you don't, if you didn't get a copy of that, get it. and any one. because, it just outlines these and gives you the facts. and it is short. these are just short little summaries this is not some long page after page after page. you will look over this and you feel that elder abuse protection and you can say that this is the problem that we are having and this is what it is costing us budget, remember? this is what it is costing us in money, not in people, but mostly in people, and if you do these things and this is how you will save money and come out ahead and better. so, i strongly recommend that we, you know, have a copy of that and my congratulations should be to anne because she is an active part of that group and that they presented

this. >> could you repeat the title. >> it was just budget action. >> it says budget action, mine. >> and she will tell you that she can get copies for everyone. >> thank you. >> and i asked that question. >> what i have recognized. >> just a minute. >> was there someone more. >> yes. >> commissioner would like to ask a question. >> could we get it from the website? >> well, i would not know you would have to go --. >> maybe you will take a look on your document. >> sherine i just picked things up and i was